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Biomedical subjects

B Winblad

Publications and source records attributed to B Winblad.

At least 469 records · Page 26Linked to original sources

Biochemical changes in dementia disorders of Alzheimer type (AD/SDAT).

In postmortem investigations of patients with dementia of Alzheimer type (AD/SDAT) (n = 14) the brain weight was significantly reduced when compared to controls (n = 16). In four AD/SDAT-brain parts investigated the concentrations of 5-hydroxy-tryptamine and noradrenaline were significantly reduced while 3-methoxy-4-hydroxyphenylglycol was significantly increased. In the caudate nucleus of the AD/SDAT-brains the concentrations of dopamine and homovanillic acid were significantly reduced. The activity of monoamine oxidase B was increased suggesting a proliferation of extra neuronal tissue in the AD/SDAT-brains. The activity of choline acetyl transferase was reduced in the four brain parts investigated, showing a general reduction in the acetylcholine system in the AD/SDAT-brains. The ganglioside concentration was significantly reduced suggesting a reduced density of nerve endings in the demented brains. The AD/SDAT-group was according to rating scales severely demented. Patients with an early onset of the dementia disease were more severely intellectually reduced and had more pronounced biochemical disturbances than those with a late onset of the dementia.

Aged↗

The effect of alcoholism on salsolinol and biogenic amines in human brain.

Chronic alcoholics with a well documented history of alcohol abuse were divided at autopsy into two groups, intoxicated alcoholics (IA, with blood ethanol levels) and sober alcoholics (SA, without blood ethanol levels). Norepinephrine (NE), 4-hydroxy-3-methoxyphenyl-glycol (HMPG), 5-hydroxyindoleacetic acid (5-HIAA), dopamine (DA), salsolinol (SAL) and methylated salsolinol (M-SAL) in caudate nucleus and putamen from the two groups of alcoholics and an age-matched control group were analysed with gas chromatography-mass spectrometry. HMPG was significantly increased in the brains of the alcoholics compared to controls (IA, P less than 0.001 and SA, P less than 0.05) indicating an increased NE turnover in the brains of alcoholics. 5-HIAA, the major 5-hydroxytryptophan (5-HT) metabolite, was increased in the caudate nucleus from SA (P less than 0.05) compared to controls and IA. This could be interpreted as an increased turnover of 5-HT at abstinence. SAL can be formed from DA and acetaldehyde and/or pyruvate. SAL was found in all brains studied. The levels were about 1% of the dopamine concentrations. SAL had a tendency to be increased in brains of IA compared to control brains. The most remarkable finding was that SAL was significantly decreased in both the caudate nucleus and putamen from SA compared to controls and IA. M-SAL showed tendencies in the same directions as SAL. DA did not show any significant changes, but tended to be lower in SA.(ABSTRACT TRUNCATED AT 250 WORDS)

Alcoholism↗

Superoxide dismutase activity in brains from chronic alcoholics.

CuZn superoxide dismutase (SOD) and Mn SOD activities were analyzed in hypothalamus, nucleus caudatus, hippocampus and cortex gyrus cinguli from 12 chronic alcoholics and from 16 controls. The CuZn SOD activities were slightly lower and the Mn SOD activities were slightly higher in the brain pieces from chronic alcoholics compared to the controls. The slight differences found can hardly be assigned etiological importance in the degenerative processes in brain tissue connected with chronic alcoholism.

Adult↗

Cytogenetic changes in patients with senile dementia.

Chromosome analyses were performed on lymphocytes from patients with Alzheimer type dementia, multi-infarct dementia, Down's syndrome and healthy controls. At least 100 cells were scored from each individual. A significant increase in aneuploidy was observed in the demented patients compared to controls but there was no difference between multi-infarct dementia and senile dementia of Alzheimer type. Nor was there any sex difference in the different groups. Also there was a significantly increased frequency of structurally altered chromosomes among the patients with senile dementia of Alzheimer type compared to other forms of dementia. In the control group such an anomaly was not observed.

Adolescent↗

Changes in blood glucose and insulin secretion in patients with senile dementia of Alzheimer type.

A retrospective study of 839 hospital records with various dementia diagnoses showed that 63 cases had a diagnosis of diabetes mellitus as well. None of these were found in the group of patients with senile dementia of Alzheimer type (SDAT). Oral glucose tolerance tests (OGTT) were performed in patients with SDAT, multiinfarct dementia (MID), cerebrovascular disease (CVD), hospitalized control patients (Chosp) and healthy elderly persons (Celd). Fasting blood sugar was significantly lower and the areas under the OGTT curves were significantly smaller in the SDAT group than in the CVD and the Chosp group. SDAT patients had higher insulin levels than Celd during the OGTT and on a statistically significant level 90 min after ingestion of sugar. Our findings suggest that SDAT and diabetes mellitus may not co-exist and that patients with SDAT have decreased blood sugar concentrations and elevated serum insulin levels. It is discussed whether this is an effect of the transmitter deficiencies in SDAT or may serve to explain these deficiencies.

Aged↗

Postmortem changes in binding to the muscarinic receptor from human cerebral cortex.

The effects of storage at 4 degrees C on the antagonist and agonist binding properties of the muscarinic acetylcholine receptor from fresh surgical and frozen autopsy samples from human cerebral cortex were studied. The number of L-[3H]3-quinuclidinyl benzilate binding sites and their affinities were stable up to 51 h, both when stored as pieces of intact nonfrozen tissue and as a homogenate. The agonist binding properties as measured by the ability of the muscarinic agonist carbachol to compete with L-[3H]3-quinuclidinyl benzilate were also stable up to 51 h when the tissue was stored in the form of pieces. The affinity for carbachol decreased when the tissue was stored as a homogenate. The frozen autopsy samples showed no significant differences in binding properties in comparison with fresh neurosurgical tissue.

Aged↗

Treatment of constipation with high-bran bread in long-term care of severely demented elderly patients.

Constipation in institutionalized elderly is a common and difficult problem. Thirty-three institutionalized demented patients with severe constipation were given a high-bran bread instead of their accustomed laxatives. Changes in defecation habits, food and liquid intake, and metabolic status were registered. During the high-bran bread treatment period, the number of bowel evacuations and the estimated volume of feces increased. The total laxative consumption (doses given per day) decreased by 93 per cent. Nutritional data and metabolic status were unchanged during the high-bran bread period except for a reduction of the postprandial blood glucose response after the glucose tolerance test.

Aged↗

Respiratory mucosal damage by flexible fiberoptic bronchoscopy in pigs.

In a study of 11 pigs, the left bronchial tree was examined with a flexible fiberoptic bronchoscope (FFB) and the right bronchial tree was used as control. After bronchoscopy the animals were sacrificed and the airways examined by scanning electron microscopy and light microscopy. In all animals, respiratory mucosal damage caused by the FFB was observed. The columnar epithelial cells were torn off in areas where the FFB had rubbed against the airway wall, but the basement membrane was not damaged. Even in specimens where large areas of the epithelium were grazed off there were underlying areas with undamaged epithelium.

Animals↗

Respiratory mucosal damage after brush biopsy--an experimental study in rabbits.

Bronchial brushing is one of the main methods of obtaining bronchial mucosal material for cytologic examination. In 37 rabbits, the tracheal respiratory mucosa, brush biopsy damage and post-biopsy wound-healing were studied. In the majority of animals, the brush had penetrated the basement membrane but in animals with undamaged basement membrane there was, within one to two days, a covering cell layer, probably regenerated from the intact epithelium and from basal cells. Deep, wound areas were covered during the first two to three days after damage by granulation tissue protruding into the tracheal lumen. After rejection of the granulation tissue, ulceration was covered by epithelium within three days and a normal ciliated epithelium restored within three weeks.

Animals↗

Choline acetyltransferase and substance P-like immuno-reactivity in the human spinal cord: changes in amyotrophic lateral sclerosis.

The topographic location of the enzyme choline acetyltransferase (ChAT) has recently been determined within the human spinal cord. ChAT, which is regarded as a specific marker of cholinergic structures in nervous tissue, showed an area of high activity in the ventrolateral part of the ventral horn, probably related to motor neurons. In addition, an area of high ChAT activity was found in the apical part of the dorsal horn. As amyotrophic lateral sclerosis (ALS) is characterized by progressive degeneration of the cortico-spinal tracts and the lower motor neurons, we considered it of value to investigate the involvement of spinal cholinergic structures in this disorder. Substance P is regarded as the transmitter of incoming pain signals to the dorsal horn of the spinal cord, a subject recently reviewed by Marx. As disturbed sensation of pain is not a symptom of ALS, there seemed reason to correlate the spinal concentration of this peptide with the activities of ChAT in ALS.

Acetylcholine↗

The activity of monoamine oxidases A and B in gamma-irradiated rabbit brains.

The activities of monoamine oxidases A and B towards 5-hydroxytryptamine and beta-phenethylamine, respectively, were compared in the left and right caudatus, hippocampus, parietal cortex, cerebellum and frontal cortex 6 months after gamma-irradiation (single dose of 23 Gy) of either the right hemisphere or of the whole rabbit brain (in which case, a dose of l6 Gy). No difference in monoamine oxidase A or B activities were found in any of the brain regions.

Animals↗

Monoamine concentrations in the human brain. A comparison between two methods of tissue handling.

The brains of five neurologically healthy humans were analyzed for their content of various monoamines and metabolites using two different dissection methods. The left hemisphere was frozen immediately and subsequently dissected in the frozen state. The right hemisphere was dissected fresh in the autopsy room whereupon the brain parts were put in a freezer. Few significant differences were noted with respect to the monoamine content, indicating that the methods could be considered to be equivalent for the purpose of monoamine analysis.

Aged↗

The binding of [3H]-5-hydroxytryptamine to homogenates of human brain.

The binding of [3H]-5-hydroxytryptamine ([3H]-5-HT) to homogenates of human brain has been studied. The specific binding is saturable, with a Kd (frontal cortex) of 12 /+- 2 nM, and is inhibited by non-radioactive 5-HT (IC50=26 nM) and D-Lysergic acid diethylamide (IC50=20 nM). Specific, but not non-specific binding of [3H]-5-TH was inhibited by incubation of the homogenates at 50 degrees C. The binding of [3H]-5-HT across the human brain was not uniform, the highest binding being found in the substantia nigra and hippocampus, and the lowest in the thalamus and pons. The Kd of the binding sites towards 5-HT did, however, appear to be similar for the different brain regions.

Animals↗

Structure of the pars flaccida after occlusion of the Eustachian tube or blockade of the tympanic isthmus.

In this experimental study performed on the rat middle ear either the Eustachian tube or the tympanic isthmus was blocked via the tympanic bulla with a polyethylene plug or a piece of Gelfoam, respectively. Effusion material was immediately observed in the attic space and subsequently the pars flaccida was drawn in a medial direction to form a retraction pocket. The initial changes in the pars flaccida structure were a degranulation of the mast cells and concomitantly metaplasia of the mucosal epithelium into cells displaying numerous osmiophilic inclusions, vacuoles and multivesicular bodies. It cannot be excluded that the initial cause of the effusion production is the histamine released from mast cell granules.

Animals↗

Cholinergic activity in hippocampus in chronic alcoholism.

Evidence indicates that hippocampus and cholinergic mechanisms play a role in memory function. Animal studies have indicated an effect of prolonged ethanol treatment on cholinergic parameters. It is well known that chronic alcoholics often have a disturbed memory function. In this postmortem study the cholinergic activity in the hippocampus was studied in 20 chronic alcoholics and 14 controls. Of the alcoholics, 13 were classified as 'intoxicated alcoholics' and 7 as 'sober alcoholics', i.e., without ethanol in blood and urine at the time of death. To study both pre- and postsynaptic effects, the enzyme choline acetyltransferase (ChAT, presynaptic marker) as well as muscarine- and nicotine-like receptor binding sites were measured. There was a lower, although not significant, activity in ChAT in the hippocampus of the chronic alcoholics as compared to the controls. The lowest ChAT activity was found in the group of 'sober alcoholics', however it was not statistically significant. In the chronic alcoholics there was a trend towards lower numbers of muscarine-like binding sites reaching significance for the oldest group of alcoholics (59 - 68 years; -30%; p less than 0.01) in comparison to controls. The combination of the normal aging process with degenerative nerve cell changes and alcohol abuse might lead to the more pronounced decrease in muscarinic binding sites found for the older alcoholics.

Adult↗

Age-correlated loss of dopaminergic binding sites in human basal ganglia.

Human caudate nucleus, putamen, substantia nigra, and nucleus accumbens were analyzed for the effects of age on dopaminergic binding sites. Decreases in the number of dopaminergic binding sites were detected with age in caudate nucleus (44 specimens from three sample groups) and substantia nigra (n = 12). In caudate nucleus, the decline in [3H]2-amino-6, 7-dehydroxy-1, 2, 3, 4-tetrahydronaphthalene sites was three times greater than for [3H]spiperone, but age changes were significant in only two of the three sampling groups. No age changes in binding were detected in the putamen (n = 44) or nucleus accumbens. Age, sex, and tissue source all significantly contributed to variance. However, cause of death, time from death to tissue freezing, and length of storage did not influence dopaminergic binding in the caudate nucleus or putamen. Relative to the life-span, the age-correlated decrease in dopaminergic binding sites of human brain approximates that in aging rodent striatum. Comparisons of altered dopaminergic binding with other age-correlated changes suggest that neuronal loss may not be involved in the loss of binding sites before midlife.

Adolescent↗